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SAN LUIS OBISPO CITY FIREEMERGENCYOPERATIONSMANUAL E.O.1202.00 COMMUNICABLEDISEASEEXPOSURE Revised:8/14/2015Page1of9 NOTE: This document is derived from County EMMA Policy 102ContagiousDisease Exposure.
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To fill out EO 1202-00 Communicable Disease form, follow these steps:
02
Start by entering the relevant personal information such as your name, address, contact information, and date of birth.
03
Provide details about the specific communicable disease you are reporting. Include the name of the disease, date of diagnosis, and any additional relevant information about symptoms or treatment.
04
Fill out the section regarding your medical history. Include any past communicable diseases you have had, vaccinations received, and any treatments or medications you are currently undertaking.
05
If applicable, provide information about any recent travel history that may be related to the communicable disease.
06
Finally, sign and date the form to certify the accuracy of the information provided.
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Make sure to review the completed form for any errors or omissions before submitting it.

Who needs eo 1202-00 communicable disease?

01
EO 1202-00 Communicable Disease form may be needed by individuals who have been diagnosed with a communicable disease and are required to report their condition to relevant authorities.
02
Healthcare professionals, such as doctors or nurses, may also need to fill out this form when diagnosing and reporting communicable diseases in their patients.
03
The specific requirements for who needs this form may vary depending on local regulations and the type of communicable disease being reported.
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All communicable diseases that are required to be reported to public health authorities.
Healthcare providers, laboratories, and other entities as specified by public health authorities.
Complete the form with information about the patient, the disease, and any relevant contact tracing details.
To track and monitor the spread of communicable diseases in order to prevent outbreaks and protect public health.
Patient demographics, disease diagnosis, date of diagnosis, and any known contacts who may have been exposed.
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